- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $9,903.00 / $15,606.00
| Facility | | $4,804.00 | $9,903.00 | $15,606.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,695.45 / $11,189.15 / $11,279.89
| Facility | | $10,695.45 | $11,189.15 | $11,279.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,753.00 / $10,181.87
| Facility | | $688.00 | $2,753.00 | $10,181.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,910.60 / $9,706.00 / $17,103.00
| Facility | | $5,910.60 | $9,706.00 | $17,103.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,066.30 / $21,387.47 / $21,387.47
| Facility | | $13,066.30 | $21,387.47 | $21,387.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,141.56 / $9,141.56 / $9,141.56
| Facility | | $9,141.56 | $9,141.56 | $9,141.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,078.57 / $8,605.00 / $17,103.00
| Facility | | $6,078.57 | $8,605.00 | $17,103.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,304.32 / $7,710.08 / $17,627.16
| Facility | | $3,304.32 | $7,710.08 | $17,627.16 |